{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T03:42:42Z","timestamp":1785814962076,"version":"3.56.0"},"reference-count":52,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001659","name":"deutsche forschungsgemeinschaft","doi-asserted-by":"publisher","award":["EH 422-2-1\/MO 3865-1-1"],"award-info":[{"award-number":["EH 422-2-1\/MO 3865-1-1"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The posterior tibial slope (PTS) is a key determinant of knee biomechanics, with increased PTS values identified as a risk factor for anterior cruciate ligament (ACL) injuries and ACL graft failure. While the relationship between PTS and passive anterior tibial translation (ATT) is well-documented, its influence on dynamic ATT during gait remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the in vivo association between medial and lateral PTS (MPTS and LPTS, respectively), as well as lateral-medial PTS difference (\u0394PTS), with dynamic and passive ATT in ACL-deficient knees compared with contralateral ACL-intact knees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Descriptive laboratory study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 13 patients with unilateral ACL tears undergoing ACL reconstruction at the authors\u2019 orthopaedic sports medicine center were included in the analysis. Dynamic ATT was assessed using a motion capture\u2013based gait analysis system during walking, while passive ATT was measured using a KT-1000 arthrometer. The contralateral ACL-sufficient knees of the participants were used as paired controls. PTS values (MPTS, LPTS, \u0394PTS [LPTS minus MPTS]) were measured from computed tomography. Correlation analyses were performed to evaluate the relationships between PTS parameters and ATT during gait, as well as during passive assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      MPTS, LPTS, or \u0394PTS values did not differ significantly between ACL-injured and healthy knees (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; .05). No significant correlations were identified in healthy knees or between MPTS\/LPTS and ATT in either group.A strong inverse correlation was observed between \u0394PTS and dynamic ATT in ACL-injured knees (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = \u22120.692;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .014), particularly during the stance (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = \u22120.708;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .015) and swing phases (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      = \u22120.775;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The results suggest that lateral-medial asymmetry of the PTS (\u0394PTS) may influence dynamic ATT in ACL-injured knees during gait. A greater LPTS relative to MPTS was associated with reduced dynamic ATT, whereas a lower LPTS relative to MPTS correlated with increased ATT. This directional relationship indicates that slope asymmetry could act as a restraint, potentially limiting anterior tibial shift during dynamic loading. The observed inverse correlation between \u0394PTS and dynamic ATT indicates that this asymmetry could act as a restraint, potentially limiting anterior tibial shift. No significant correlations were identified between MPTS or LPTS individually and dynamic or passive ATT. Further studies are needed to validate these findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>Considering the potential influence of lateral-medial tibial slope asymmetry on dynamic knee stability, these findings provide insight into the biomechanical function of the ACL-injured knee during gait.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671251387352","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T19:23:32Z","timestamp":1765308212000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Influence of the Medial and Lateral Posterior Tibial Slope on Anterior Tibial Translation During Gait in Anterior Cruciate Ligament\u2013Deficient Knees"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0280-1819","authenticated-orcid":false,"given":"Moses K.D.","family":"El Kayali","sequence":"first","affiliation":[{"name":"Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin, Center for Musculoskeletal Surgery, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Moewis","sequence":"additional","affiliation":[{"name":"Berlin Institute of Health at Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Julius Wolff Institute, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Bartek","sequence":"additional","affiliation":[{"name":"Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin, Center for Musculoskeletal Surgery, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Scheffler","sequence":"additional","affiliation":[{"name":"Sporthopaedicum Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heide","family":"Boeth","sequence":"additional","affiliation":[{"name":"Berlin Institute of Health at Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Julius Wolff Institute, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Winkler","sequence":"additional","affiliation":[{"name":"Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, corporate member of Freie Universit\u00e4t Berlin, Humboldt-Universit\u00e4t zu Berlin, Center for Musculoskeletal Surgery, Berlin, Germany"},{"name":"Berlin Institute of Health at Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Julius Wolff Institute, Berlin, Germany"},{"name":"Berlin Institute of Health Center for Regenerative Therapies, Berlin Institute of Health 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